Job Description

Purpose & Scope:

The Case Manager is responsible for the collaborative process of assessment, planning, facilitation, and advocacy for options and services to meet an individual's health needs through communication and available resources to promote quality cost-effective outcomes. Additionally, the Case Manager ensures that identified and referred patients have a coordinated continuum of care in accordance with JCAHO and hospital guidelines and serves as liaison for the interdisciplinary team, the patient, and family to ensure a timely, smooth, and clinically appropriate care planning process. The Case Manager also maintains communications with the pay or at the time of admission and throughout the hospitalization to ensure necessary approvals for care and clarification of benefits. They facilitate retrospective reviews and approvals for care whenever necessary, and they implement and coordinate discharge plans utilizing available and appropriate community resources.

Education:

Graduation from an accredited school of social work, nursing, in a related field or equivalent is required.

Experience:

Five years of experience in the healthcare field is preferred.

Experience in case management is preferred.

Certification/Licensure:

None.

Physical Requirements:

Administrative: The work environment characteristics described here are representative of those an employee may encounter while performing the essential function of the job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essentials functions: Repetitive movement of hands and fingers - typing and/or writing. Walking:  moving about on foot to accomplish tasks, sometimes for long distances. Frequent standing, walking, stooping, kneeling or crouching. Reach with hands and arms. Frequent communications, verbal and written, and auditory acuity. Visually or otherwise identify, observe and assess. Cope with mental, emotional stress associated with this position. Operate Office machines properly and in accordance with Hospital safety standards. Perform light lifting (up to 15 pounds). Ability to work within deadlines with frequent interruptions. Ability to work in accordance with Hospital Safety Standards

Working Conditions:

Patient Care: Works in well-lighted/ventilated office/clinical setting. Subject to frequent interruptions. Subject to long hours, changing shifts. May be required to work beyond normal working hours when requested to do so, e.g., overtime, on call. Routine occupational exposure to infectious diseases, blood borne pathogens, bodily fluids, hazardous chemicals, noxious odors, latex, and/or musculoskeletal injuries. The use of personal protective equipment (PPE) is needed for instances of exposure to blood, body fluids and infectious processes, and are supplied by the hospital. Involved with patients, family members, co-workers, and visitors under all conditions, e.g. hostile and/or emotionally upset, disoriented or combative